Individual
ARELI DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6516 BROADWAY STREET, SUITE 112, PERLAND, TX 77581
(303) 989-8169
Mailing address
6516 BROADWAY STREET, SUITE 112, PERLAND, TX 77581
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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